How Your Child Heals How Your Child Heals An Inside Look at Common Childhood Ailments Christopher M. Johnson, MD ROWMAN & LITTLEFIELD PUBLISHERS, INC. Lanham (cid:129) Boulder (cid:129) New York (cid:129) Toronto (cid:129) Plymouth, UK Published by Rowman & Littlefield Publishers, Inc. A wholly owned subsidiary of The Rowman & Littlefield Publishing Group, Inc. 4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706 http://www.rowmanlittlefield.com Estover Road, Plymouth PL6 7PY, United Kingdom Copyright © 2010 by Rowman & Littlefield Publishers, Inc. All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without written permission from the publisher, except by a reviewer who may quote passages in a review. British Library Cataloguing in Publication Information Available Library of Congress Cataloging-in-Publication Data Johnson, Christopher M. How your child heals : an inside look at common childhood ailments / Christopher M. Johnson. p. cm. Includes index. ISBN 978-1-4422-0203-0 (cloth : alk. paper) — ISBN 978-1-4422-0205-4 (electronic) 1. Children—Health and hygiene—Popular works. 2. Healing—Popular works. 3. Pediatrics—Popular works. I. Title. RJ61.J65 2010 618.92—dc22 2009050220 (cid:2)™ The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI/NISO Z39.48-1992. Printed in the United States of America Contents Acknowledgments vii Introduction 1 1 Inflammation: A Visit to a Sore Finger 3 2 Location, Location, Location: An Ear Infection’s Lesson 19 3 Sometimes the Body Does Silly Things: What Asthma Looks Like 37 4 Not All Body Parts Are Useful: A Look Inside a Sick Appendix 55 5 How We Know the Enemy: A Close-up View of the Immune System 71 6 When the Environment Attacks: Allergies and Other Encounters 91 7 Fevers, Aches, and Itches: Where Do Symptoms Come From? 107 8 How Injuries Heal: An Inside Expedition to Bruises and Broken Bones 125 9 What Cancer Can Teach Us about Healing 141 10 How Can We Help a Child Heal? 157 v vvii CCoonntteennttss 11 When Healing Fails 173 12 Healing and the Tree of Life 189 Suggestions for Further Reading 199 Index 203 About the Author 209 Acknowledgments I thank my wife, Jennie, for her encouragement to write about the little people I care for every day, and my able agent, Anne Devlin, for her faith in my ability to write these books. I especially thank Dr. Kathy Rhodes, whose enthusiasm and skill inspired me, thirty-five years ago, to spend my career doing this. vii Introduction I have watched children heal from illness and injury for more than thirty years. Throughout that time, I often found myself wondering just what, exactly, healing meant. We grown-ups stand over a sick child and watch the process, but really we are a far distance away from the actual drama, which is inside the child. There, events we dimly understand and barely control work themselves out. Ever since my first years in medicine, I have tried to imagine what the excitement and pageantry of those microscopic events must be like, because to understand them is to understand how healing happens. Throughout my years in the research laboratory, when I looked through the microscope I often conjured up scenes of the actors in the tiny drama unfolding below. I wished somehow to be there—if not as a participant, then at least as an observer. This book is my attempt to put you there, to share with you how those fascinating, complex events appear to me. In the process, I skip lightly over a vast amount of medical research in immunology, pathology, and general cell biology. Other experts in these fields will likely find my brush too broad at times. But I think stepping back from the minutiae to see the forest for the trees is enormously useful. This book is a voyage of discovery into the astonishing microscopic world our children, and we adults, too, carry around all the time. It is a world full of wonderful, magical sights. I hope you enjoy reading about them as much as I have enjoyed studying them through the years. 11
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